Lateral hemivertebra - L4 lumbar vertebra

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Slipped down in home on right hip with back pain and limbing.

Patient Data

Age: 8 years
Gender: Male

L4 hemivertebra with secondary lumbar scoliosis with convexity towards right side. Cobb angle 40°.

Right-sided lateral hemivertebra at L4 vertebra resulting in mild scoliosis with convexity to right side.

Loss of spinous process and left pedicle of S1 vertebra (spina bifida).

Case Discussion

Features of L4 non-incarcerated lateral hemivertebra. It is a type of hemivertebra that is usually associated with congenital scoliosis

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